Abstract
This study examined the factors related to burnout, depression, job stress, and job satisfaction in intensive care unit (ICU) nurses caring for do not resuscitate (DNR) patients, as well as analyzed any differences. A cross-sectional descriptive design was employed. Study participants involved a total of 115 nurses caring for DNR patients in ICUs in South Korean hospitals. Measures involved a demographic form, Copenhagen Burnout Inventory (CBI), Center for Epidemiologic Studies Depression Scale, Nursing Job Stress Scale (Korean version), and Nursing Job Satisfaction Scale (Korean version). Data were collected from February to March 2017. The analyses illustrated a higher level of burnout, a slightly lower level of depression, a slightly lower level of nursing job stress, and a very slightly higher level of nursing job satisfaction compared with the median value of the score range for each scale. Burnout had a significant, positive relationship with depression and nursing job stress, and depression had a significant, positive relationship with nursing job stress. This study illuminates preliminary evidence that ICU nurses who are caring for DNR patients have a higher level of burnout compared with the median value of the score range in the CBI (Korean version). Burnout, depression, job stress, and job satisfaction were interrelated in ICU nurses.
Highlights
In modern society, the average human life expectancy has been extended due to the development of medical technology and the mortality rate has decreased [1,2]
This study was conducted to measure the factors related to burnout, depression, job stress, and job satisfaction of intensive care unit (ICU) nurses caring for an increasing number of do not resuscitate (DNR) patients, as well as to analyze any differences, so as to provide basic data on quality nursing practice for DNR patients and their families
71.3% of participants were working in medical intensive care unit (MICUs) with a maximum of three shifts
Summary
The average human life expectancy has been extended due to the development of medical technology and the mortality rate has decreased [1,2]. Life-sustaining treatment may deprive the opportunity of other critically ill patients to use the beds and waste unnecessary medical resources, thereby resulting in problems such as inefficient distribution of medical resources [16,17]. With regard to such life-sustaining treatment to extend human life, nurses with field experience may regret their decisions and conflict with reality, whereby they cannot reflect their opinions as professionals to the family and patient regarding their decision-making with respect to
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